SearchMaryland374U00000X

Divine Zisuh

NPI 1548522972 · on the registry since 2012

Practice

Address
9893 Good Luck Rd
Apt 7
Lanham, MD 20706
Phone
(202) 378-0041
Clinicians at this address
4

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland